148-鹰嘴桡骨头骨折(英文).pptVIP

Olecranon Fractures and Radial Head Fractures Andrew H. Schmidt, MD Gregory J. Schmeling, MD David C. Templeman, MD Anatomy of the Olecranon and Radial Head Surgical Anatomy Articular cartilage Sigmoid notch of ulna: bare spot Coronoid process Note angle of k-wires to engage anterior cortex Beware of narrowing sigmoid fossa when treating comminuted fractures. Olecranon Fractures Mechanism of Injury Acute Tension overload: Tension applied by the triceps with flexion of the elbow. Direct Trauma Chronic overload: stress fracture, osteopenia, pediatric injuries. Evaluation Check integrity of ski